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Illinois rates for HCPCS 22586

Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,466.84 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $25,703.96 / $48,977.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $15,135.61 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $4,168.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,981.07 / $9,772.37
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $8,128.31 / $28,840.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $4,265.80